FINANCIAL AID APPLICATION FORM 2015

Transcription

1 127 Cecil Rd cnr Durham Avenue and Victoria Rd Salt River 7925 Tel: FINANCIAL AID APPLICATION FORM 2015 SECTION 1: STUDENT INFORMATION In addition to the information required below, this Financial Aid Form should be accompanied by the following: Two Passport/ID Photographs (attach one here) Letter of Recommendation Personal Profile (attach other photograph) Proof of income and/or support (if applicable) Signed Agreements and Declarations PASSPORT OR ID PHOTO 1.1 SURNAME: STUDENT : 1.2 FIRST NAMES: 1.3 IDENTITY/PASSPORT NUMBER 1.4 HOME ADDRESS: 1.5 LOCAL ADDRESS (if different to home address) 1.6 ADDRESS POSTAL CODE 1.7 HOME TELEPHONE NUMBER: CELL : 1.8 MARITAL STATUS: 1.9 EMPLOYMENT DETAILS: FULL-TIME PART-TIME CASUAL 1.10 SPOUSE S NAME: Place of employment: 1.9 SPOUSE S HOME ADDRESS [IF SEPARATED]: 1.11 LEADER OF CHURCH OR SENDING ORGANISATION NAME & PHONE NUMBER: 1.12 ADDRESS OF CHURCH OR SENDING ORGANISATION: 1.13 BRIEFLY STATE WHY YOU ARE SEEKING FINANCIAL AID: COMMENTS: FOR OFFICIAL USE ONLY RATING: AMOUNT AWARDED: DATE:

2 SECTION 2: FINANCIAL DETAILS 2.1 HAVE YOU SUPPORTED YOURSELF FINANCIALLY IN THE PAST THREE YEARS? If, please supply payslips 2.2 HAVE YOU MAINTAINED YOUR OWN HOUSEHOLD (INDEPENDENT OF PARENTS OR GUARDIAN) FOR MORE THAN A YEAR? Proof could be requested by the Financial Aid Office 2.3 DO YOU HAVE CHURCH / SENDING ORGANISATION SUPPORT AND TO WHAT AMOUNT? Amount: R (monthly) If, please supply letter of proof 2.4 DO YOU HAVE OTHER SUPPORT OR SPONSORS? Amount: R (monthly) If, please supply letter of proof 2.5 HOW DO YOU INTEND TO MEET THE REMAINDER OF YOUR FEES? 2.6 HOW DO YOU INTEND TO SUPPORT YOUR FAMILY DURING YOUR TIME OF STUDY? (IF APPLICABLE) 2.7 HOW DO YOU INTEND TO MEET YOUR COST OF LIVING EXPENSES? PLEASE TE: Should you receive an income from more than one source, please list them all. If the income is from wages or salary, submit a copy of the latest payslip with this application. If the income is from child support, please supply a copy of the relevant documents. If income is from business, please supply copies of statements submitted to the tax officials SECTION 3: DETAILS OF FAMILY MEMBERS WHO ARE LIVING WITH YOU PLEASE TE: This section must be completed by EITHER 1) One of the applicant's parents or his/her legal guardian if the applicant is under eighteen years OR 2) the applicant, if he/she is 18 or older; or has supported him/herself for longer than 3 years or if both the applicant's parents are deceased and he/she does not have a legal guardian. NAME AGE HOW IS THIS PERSON RELATED TO YOU? (e.g. wife, son) STATE WHICH CATEGORY THIS PERSON BELONGS TO: PRESCHOOL, LEARNER, STUDENT OR ADULT IF EARNING AN INCOME, WHAT TYPE: WAGES, SALARY; PENSION; CHILD SUPPORT ETC. HOW MUCH DOES THE PERSON RECEIVE FROM THIS SOURCE?

3 SECTION 4: DETAILS OF SUPPORTERS: PARENTS/LEGAL GUARDIAN/OTHER 4.1 MOTHER SURNAME: FIRST NAMES: HOME ADDRESS: MOTHER S MARITAL STATUS: NAME OF MOTHER S SPOUSE: [IF HER SPOUSE IS T YOUR FATHER] MOTHER S EMPLOYMENT DETAILS:[INCLUDING OTHER SOURCES OF INCOME] 4.2 FATHER SURNAME: FIRST NAMES: HOME ADDRESS: FATHER S MARITAL STATUS: NAME OF FATHER S SPOUSE: [IF HIS SPOUSE IS T YOUR MOTHER] FATHER S EMPLOYMENT DETAILS: [INCLUDING OTHER SOURCES OF INCOME] 4.3 GUARDIAN OR OTHER PERSON RESPONSIBLE FOR YOUR SUPPORT DO YOU HAVE A LEGAL GUARDIAN? OR DO YOU HAVE ATHER PERSON RESPONSIBLE FOR YOUR SUPPORT? IF, SURNAME: FIRST NAMES: HOME ADDRESS: THEIR MARITAL STATUS THEIR SPOUSE S NAME: [IF ANY] GUARDIAN S OR OTHER RESPONSIBLE PERSON S EMPLOYMENT DETAILS [INCLUDING OTHER SOURCES OF INCOME]

4 SECTION 5: AGREEMENTS AND DECLARATION I, have read and agree to comply with the Financial Aid Policy of Cornerstone Institute SIGNED DATE I,, do hereby agree to allow Cornerstone s Financial Aid Committee to release my academic results to funders or potential funders for the purpose of consideration for financial aid. SIGNED DATE I,, do hereby agree to update my testimony/profile biannually and provide a Funder Thank-you Letter bi-annually, in accordance with the Financial Aid Policy, to be released to funders or potential funders when necessary. SIGNED DATE I,, do hereby agree that should I fail to complete my qualification, I will repay to Cornerstone all financial aid granted. SIGNED DATE I hereby declare that all information in this application is true to the best of my knowledge. NAME OF APPLICANT: SIGNATURE: NAME OF WITNESS: SIGNATURE: DATE: DAY MONTH YEAR

5 CHECKLIST Please check that the supporting documentation is attached to this application. SECTION 1: 1. Two Passport-size photographs 2. Letter of recommendation from a non-relative who knows the applicant well e.g pastor, teacher, employer, community leader If possible, must be written on a company/organisation letterhead. Must be written by an individual who personally knows the applicant. Must not be written by a relative. Must address the abilities/spiritual gifts/leadership potential of the applicant. Must indicate why the applicant should be considered a priority for financial aid. Must indicate any financial commitment by a sponsor (individual/church/employer/organisation) 3. Personal Profile (see attached for template) Must include personal family life Must include personal spiritual or life journey Must include work experience/ministry/community involvement, as applicable Must include why applicant wants to study at Cornerstone Institute SECTION 2: Proof of income and other financial support SECTION 3 & 4: 1. Pay slips 2. Business Statements 3. Child Support/Maintenance Documents SECTION 5: 1. Signed Agreements and Declaration Please note that if any of the supporting documents are not included your application will be deemed incomplete and will not be considered.

6 PERSONAL PROFILE PASSPORT OR 1. Personal family life ID PHOTO 2. Personal spiritual or life journey 3. Work experience/ministry/community involvement, as applicable 4. Reasons why you want to study at Cornerstone Institute